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DR. BROCK CUMMINGS MD
NPI 1285636308
Orthopaedic Surgery in Paradise, CA

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
27.25/100
CMS Quality Rating
6283 CLARK RD, STE 15, PARADISE, CA 95969(530) 876-0410(530) 876-0423 Get Directions Write a Review

NPPES record last updated: April 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brock Cummings Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BROCK CUMMINGS MD (NPI 1285636308) is an individual orthopaedic surgery provider in Paradise, California, licensed in California (A70205) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1998).

NPPES Registry Identity

NPI1285636308
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BROCK CUMMINGSCredential: MD
Location Address6283 CLARK RD, STE 15Paradise, CA 95969-4100
Mailing Address6283 Clark Rd, Ste 15Paradise, CA 95969-4100 · (530) 876-0410 · Fax (530) 876-0423
Phone(530) 876-0410
Fax(530) 876-0423
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 1998
Enumeration DateJune 1, 2005
Last NPPES UpdateApril 1, 2014
✔ NPI 1285636308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · A70205
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
6283 CLARK RD, Paradise, CA 95969
Open in Google Maps ↗

Other Identifiers 4

Medicaid00A702050CA
OtherP00052511Medicare Railroad #
Medicare UPINH91792CA
Medicare ID-Type Unspecified00A702050CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brock Cummings Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183529308
PECOS Enrollment IDI20031201000837
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
244 services232 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
195 services195 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
182 services173 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
160 services142 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
154 services128 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
153 services130 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95969 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

27.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality10.55
Improvement Activities0
Cost76.76

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers113 claims113 services$55.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID J GAJDA, MD, A PROFESSIONAL CORPORATION
Clinic/Center (Ambulatory Surgical)
6283 CLARK RD, #11
PARADISE, CA 95969
Butte County (530) 877-2020
DR. DEAN ALAN HADLEY MD
Urology
6283 CLARK RD, STE 3
PARADISE, CA 95969
Butte County (530) 872-0220
JENNIFER L ENSMINGER M.D.
Ophthalmology
6283 CLARK RD, SUITE #10
PARADISE, CA 95969
Butte County (530) 877-2020
PARADISE SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
6283 CLARK RD, SUITE 11
PARADISE, CA 95969
Butte County (530) 514-8282
RICHARD D ZUMWALT
Dermatology
6283 CLARK RD, #9
PARADISE, CA 95969
Butte County (530) 872-0617
MR. PER ARNE DOVRE MD
Obstetrics & Gynecology
6283 CLARK RD, SUITE 8
PARADISE, CA 95969
Butte County (530) 872-2229
DR. SUNG PARK M.D.
Obstetrics & Gynecology
6283 CLARK RD, STE 5
PARADISE, CA 95969
Butte County (530) 877-5083
NORTH STATE RADIOLOGY MEDICAL GROUP INC
Radiology (Diagnostic Radiology)
6283 CLARK RD, SUITE #4
PARADISE, CA 95969
Butte County (530) 898-0504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brock Cummings's NPI number?

The NPI number for Brock Cummings is 1285636308. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Brock Cummings located?

Brock Cummings practices at 6283 Clark Rd Ste 15, Paradise, CA 95969. The listed phone number is (530) 876-0410.

What is Brock Cummings's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Brock Cummings enrolled in Medicare?

Yes. Brock Cummings is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brock Cummings was last updated on April 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.